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1194743278
ROY BRENT WADLE
TYLER, TX
NPI
1194743278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX K3520)
Enumeration Date
2006-07-17
Last Update Date
2014-12-24
Business Address
Dr. ROY BRENT WADLE D.O.
8288 S BROADWAY AVE
TYLER, TX 75703-5262
Phone number: 903-606-7060
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Mailing Address
Dr. ROY BRENT WADLE D.O.
PO BOX 846098
DALLAS, TX 75284-6098
Phone number: 903-324-6450
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